护患双方对护患关系紧张中护士因素的认知比较

Comparison of cognitive attitudes to nurse's factors in the tension of nurse-patient relationship between nurses and patients

目的 调查并分析护士和患者对导致护患关系紧张护士因素认知的异同.方法 采用问卷调查法,便利抽取承德医学院附属医院284名护士及305例患者进行调查.结果 护士和患者对导致护患关系紧张中护士因素的认知得分差异有统计学意义,P<0.01,患者得分为(3.90±0.47)分,高于护士得分(3.52±0.35)分.在各维度主次排序上,护患双方均认为护士的技术能力、专业知识、服务态度是导致护患关系紧张的主要因素.与护士认为沟通能力较重要相比,患者更看重护士自身的性格.结论 护患双方对护患关系紧张中护士因素的认知存在异同.护患关系紧张在很大程度上受到护士专业知识、技术能力和服务态度的影响.管理者需客观评价并充分重视护患双方的认知异同,着重加强护士的理论知识学习和临床技能训练,改善服务态度,培养良好的性格,为患者提供优质护理服务.

Objective To investigate and analyze cognitive similarities and differences of nurses factors that lead to the tense nurse-patient relationship from both attitudes of nurses and patients. Methods By using the method of questionnaire, 284 nurses and 305 patients were investigated respectively in a top'three hospital of a city. Results There was a significant difference in cognitive scores of nurses factors that lead to the tense nurse- patient relationship (P < 0.01), patients' scores were (3.90±0.47) points which were higher than (3.52±0.35) points of the nurses′. In dimensions of prioritization, both nurses and patients believed that technical ability, professional knowledge and service attitude were the main factors leading to the tense relationship between nurses and patients. While nurses held that communication ability was more important, patients held that the nurse′s own personality was more important. Conclusions There are similarities and differences of attitudes to nurs's factors between nurses and patients regarding tension in nurse- patient relationship. The tense relationship between nurses and patients is affected to a great extent by nurses' professional knowledge, technical ability and service attitude. Managers should objectively evaluate and fully pay attention to cognitive similarities and differences of both sides, strengthen nurses′theoretical knowledge and clinical skills training, improve service attitude, and develop good character,in order to provide high quality nursing service for patients.